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The Journal of Bone and Joint Surgery 80:1567-9 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Editorial

Osteoporosis Prevention and the Orthopaedic Surgeon: When Fracture Care is Not Enough

Laura L. Tosi, M.D. and Joseph M. Lane, M.D.

Osteoporosis—which threatens the health and independence of the elderly, especially postmenopausal women—is now on the radar screen of the general public and health-care providers. "Milk mustache" commercials are ubiquitous. Virtually every women's magazine as well as periodicals for senior citizens feature stories about investing in one's "bone bank."

These concerns are well founded. A woman's risk for a fracture about the hip is equal to her combined risk for breast, uterine, and ovarian cancer, and the morbidity and mortality associated with fractures about the hip are staggering1,4. The mortality rate in the first year after a fracture about the hip has been shown to increase considerably compared with the expected rate, depending on the age of the patient at the time of the fracture, the gender of the patient, and the presence of comorbidities7. Using a population-based model of the impact of osteoporosis over a lifetime, Chrischilles et . . . [Full Text of this Article]


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